Mysterious shortness of breath: What has helped you?

Posted by Gabe, Volunteer Mentor @gabrielm, May 31, 2018

I will try to make this as short as possible, but this has been going on for over 5 years, so it might be farily long. 

Beginning in summer of 2012, I began having shortness of breath (SOB) with no other symptoms. I felt a constant need to yawn, and every few breaths wouldn't satisfy the SOB. I would take a deep breath, and felt like it would get "stuck" before satisfying the air hunger feeling. About every 3-5 deep breaths would satisfy it, only for it to return a minute later. 

I got an endoscopy and other tests done, which revealed that I had some esophageal erosion due to acid reflux and a slight hiatal hernia and was diagnosed with GERD. I had always have bad heartburn, so I was prescribed with Prilosec, which I have been taking daily since them. I've tried stopping it a few times but the reflux always comes back a lot worse. 

Lung tests and x-rays were normal. Heart tests normal. Blood test revealed a slight anemia but otherwise pretty normal. 

I did some research reading forums where someone suggested taking vitamin B-12. Strangely, I took it and the SOB disappeared almost instantly. However, it only lasted a few days for it to return just as bad. I then started taking an iron supplement, which again made the SOB disappear quickly- same thing; symptom returned days later. 

After further research, I came across a breathing exercise method called the Buteyko method. Essentially you do a lot of breath holding to build up CO2 and reduce breathing as the theory is that I had chronic hyperventilation causing too much CO2 to exit my body. After applying the method and reducing my breathing, the SOB disappeared after only 2 days and I felt completely normal. I continued the method a few more days then no longer felt the need to pursue the exercises. I was normal for a whole year when the SOB once again returned with some chest tightness. I applied the method again and the symptom went away, this time with a little more effort; after about 3 weeks. I included physical exercise which also helped with my breathing. 

After that, I was normal for about 2 years. I mistakenly stopped or at least slowed down exercise and the SOB returned once again. I applied the method and began running for exercise but the SOB kept getting worse. It got so bad, I had multiple panic attacks and the feeling of completely empty lungs with the inability to satisfy it with deep breaths. I had to stop exercise altogether, apply the Buteyko method and do breathing exercises very carefully with very light and slow exercise. This helped, but it took many weeks for the SOB to improve. Then, it was almost normal when over a year ago as I was running, I couldn't get a deep breath to satisfy exercise-induced SOB. I have had SOB continuously since then (a year and a half). 

I once again started doing breathing exercises and slowly building up physical exercise, but I can't do any prolonged cardio activity because the SOB gets to a point where deep breathing will not satisfy it. While the breathing exercises have helped, they have had very little effect compared to previous efforts. It seems that every time the symptom returned, greater effort yields few results.

I suspect there is something, some underlying cause that is causing the SOB that has alluded me this entire time. 

So for the past few months to a year, the SOB is worse on some days, better on others, but never gone. There's no rhyme or reason or pattern for it. It's just there, sometimes affecting my sleep. I sometimes can't get a deep breath to satisfy it every now and then, but for the most part, a big gulp of air will satisfy it. But it returns seconds to minutes later. It's as though every breath doesn't deliver what it's supposed to, the SOB builds up, and then I have to take a big gulp of air to get rid of the feeling, pattern repeats. My breathing pattern is normal, however. I don't feel like anything physical is happening, but sometimes it feels like my airways and nostrils are slightly inflamed due to allergies, but when I don't feel inflammation the SOB is still there. 

Recent lung function tests show normal- I don't have asthma, or any other problems with my lungs. Heart tests are normal though I did have about a two week bout of heart palpitations which came and went. Haven't had any for a while- it just mysteriously started happening then stopped. Blood tests are normal, though tests always show a slight elevation of biliruben which my doc thinks is Gilbert's disease. 

I don't have sleep apnea (normal test), bloody oxygenation is normal, heart rate normal. 

I recently saw local naturopath (since mainstream docs aren't able to help) who immediately suspected a liver problem when I described my SOB, possibly liver inflammation. He used an electrodermal testing machine to test his theory which did seem to show a problem with my liver and gallbladder. He gave me digestive enzymes and a gallbladder formula to help clear a bile duct clog, thus reducing liver inflammation. He also determined with the machine that I have an egg sensitivity so I've been avoiding eggs. 

Been taking this and avoiding eggs for a couple of months, but there has been no noticeable improvement. Everything else is normal. Emotionally I'm normal- no anxiety, depression, etc. The SOB seems to be the only symptom of something, but always comes back worse, until a year and half ago when it came back and has remained since. I feel like I shouldn't have to do breath holding exercises every day just to maintain my breathing well enough to do every day things. 

Does anyone have any idea of a possible underlying cause?

2021/2022 UPDATE:
Since my original post about 3-1/2 years ago, a lot has happened, so I’d like to update the post to share with others who come across this what I’ve done since then.

I have maintained a weekly Buteyko method breathing exercise regimen where I do a few of these breathing exercises 3-4 times a week in the morning. This, in combination with daily light to moderate exercise (specifically weight lifting, with 1 or 2 days a week of walking and light jogging), I feel has kept the air hunger symptoms tolerable and manageable. I have mostly good days with some not-so-good days, but doing a breathing exercise and knowing that it’ll get better again helps me get through those times.

I also have sinus inflammation which can exacerbate the symptoms, but I’ve also managed this, which in turn reduces the severity of the air hunger symptoms.

So, while I haven’t found a cure nor is the problem completely gone, I have been able to maintain normalcy in daily life and manage the symptoms through the strategies I described.

This discussion remains active, alive and well through the comments section where others who have similar symptoms have shared what has helped them as well as suggestions for possible solutions to explore.

Interested in more discussions like this? Go to the Lung Health Support Group.

@tammyjbell

<p>Shortness of breathe and heart palpatations</p><p>I started experiencing SOB and heart palp suddenly in September. I still have no answers. Only that my heart is fine. I have trace of regurgitation in 3 valves. Was told it does not cause symptoms. This is a daily thing. I can not seem to take a deep breath unless i am sitting down or stop doing what I am doing. I do not live anywhere near the mayo clinic or I would go there. Please soemoen help</p>

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@tammyjbell, I admit it is worrisome, but don't worry too much. I have had palps for about 70 years now, and I am just as sweet and handsome and smart of I ever has been! Anyway, I think that often the palps come with some DNA issue, especially cardiomyopathy. I get mine from Gelsolin and Fukutin LGMD. The worst I have ever had has been at times I was resting. I do not worry about them when I run or dance. They seem to be just part of who I am.

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@nooz1985

Yes and yes. This is my story. I can't believe you took the words right out of my mouth. I did buteyko as well. I have constant flare ups. Sometimes I'm fine for weeks. It's so mysterious. And I visited er many times when I thought I was choking. But vital signs were fine. I can't get a deep breath.

I will reply later. And a bit longer. I live in Europe. But your story kinda got me emotional since I visited er last time with the same symptoms and I feel like no one knows! It's been going on for a year now. I. 36 and female.

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@nooz1985 Welcome to Mayo Clinic Connect, a place to give and get support.

It sounds like hearing other people going through what you are going through is validating.

May I ask what sorts of tests and treatments you have undergone?

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@erikas

@nooz1985 Welcome to Mayo Clinic Connect, a place to give and get support.

It sounds like hearing other people going through what you are going through is validating.

May I ask what sorts of tests and treatments you have undergone?

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2 echocardiogram. One spirometry and then stationary bike test.

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@nla4625

@merpreb. Sorry it's a headache day when I'm not fit for man or beast. I am watching THE most amazing 9 part series about the relationship between the gut and brain that you might find really interesting too. Functional doctors and researchers, who are looking for root causes of diseases instead of treating symptoms, now believe that depression, anxiety, and a myriad of other problems are caused by poor gut health and leaky gut. I'm writing a summary of the first 2 episodes for a post for the anxiety depression group. For the lung group, a symptom of leaky gut is shortness of breath. This is the most exciting thing I've learned in years and one of the answers some of us have been looking for for unanswered questions. Episodes Feb 15-23. 8pm Eastern, Gut-Brain Solution. They keep each episode up for 24 hours, so you could still access Episode 2. I'm afraid if I close this to get the precise website, I'll lose it. A husband and wife team from Australia interviewed 30 functional doctors and gut researchers and put this together. It is excellent! Her name is Sarah Otto, Gut/Brain Solution, sponsored by goodnesslover. Any of those will probably take you there. Hopefully tomorrow will be a non headache day. Storms moving through really do a number on my brain chemistry. Nancy

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@nla4625- Good morning Nancy. I hadn't been feeling well so I took a few days off, had some blood work, and waiting for the results. I'm sorry that it has taken so long to get back to you. I also believe that there is a direct connection between how we feel and what is in our gut. Everything in our body is alive and in order to keep everything balanced and happy we need to eat right. I hadn't taken probiotics and prebiotics for years and bought some, and it made a big difference.

How are your headaches?

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@enyeart7680

Hello! No I’ve been checked for Covid! My mother passed away in December suddenly and very violently! I have been prescribed anxiety medication but it doesn’t seam to help!

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@enyeart7680 I'm sorry to hear that you lost your mom in such a horrible way. Losing our moms is a particularly difficult loss. Grieving takes a lot out of us both emotionally and physically. I had a lot of problems when I lost my mom. Have you seen a therapist about your loss? I think that it might be good to talk to someone. I did.

Is this something that you would consider?

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@tammyjbell

I have ben experiencing this since september. I also have heart palpatations. I can not take a deep breath without effort. I have to be sitting down to do it. Or I have to stop to take the deep breath. According to my pulse ox it never goes below 95. I feel this a lot on exerction. I was told my heart is fine. Was told my lungs are fine as well. I think they are really taking me seriously. I am scared.

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@tammyjbell- Hello. I can hear how scared you are. It's always shocking when we go to take a breath, something that we have relied upon all our lives, and have trouble doing it!
Is your heart fluttering or pounding, or beating after than it was? Stress, exercise, medications, a medical condition can trigger them. Although heart palpitations can be very worrisome, they're usually harmless. Although they don't seem harmless at the time.

When you say heart palpitations what do you mean? Has anything changed in your life to bring this on that you can think of? What kind of doctor did you see?

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@tonim

I don’t feel anxious but I worry about everything!!! Though I do notice it more when I need to go out or around others. Afraid of getting Covid. And I’m the opposite, my husband works at home with me (same company) and he’s, let’s say, a little high strung lol! I would like some Alone time. WE DO EVERYTHING TOGETHER! I know I need to call my gastro dr. I’ve had constant diarrhea for two weeks. Thank goodness for this site!!!

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@tonim- Good morning and I also welcome you to Mayo Clinic Connect. Sometimes when I worry I don't think that I'm anxious and my husband will look me straight in the eyes and ask what's wrong. I also bet that with your husband being high strung that will affect you too! I don't think that there are many people who are as cool as cucumbers right now. The COVID-19 death rate at half-million people, self isolations, quarantines, rules that some people follow, and others who don't make for a distrustful world right now.

Yesterday I noticed that my husband had really started to seem like he was exaggerating certain things that I felt were ridiculous. I was annoyed and concerned at the same time. I brought it up and he was incensed for just a bit. He said that he had been feeling really cooped up. I finally told him to get out because he was driving me insane or to get a job. I told him that if he took off for a few hours it would do us both good.

Can you tell your husband that you need downtime, away from him, away from everyone?

Your lower digestive problems seem like they need an expert's attention. Your diarrhea could be from being anxious but 2 weeks is too long to wait for a doctor's opinion. Have you made an appointment?

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@merpreb

@tonim- Good morning and I also welcome you to Mayo Clinic Connect. Sometimes when I worry I don't think that I'm anxious and my husband will look me straight in the eyes and ask what's wrong. I also bet that with your husband being high strung that will affect you too! I don't think that there are many people who are as cool as cucumbers right now. The COVID-19 death rate at half-million people, self isolations, quarantines, rules that some people follow, and others who don't make for a distrustful world right now.

Yesterday I noticed that my husband had really started to seem like he was exaggerating certain things that I felt were ridiculous. I was annoyed and concerned at the same time. I brought it up and he was incensed for just a bit. He said that he had been feeling really cooped up. I finally told him to get out because he was driving me insane or to get a job. I told him that if he took off for a few hours it would do us both good.

Can you tell your husband that you need downtime, away from him, away from everyone?

Your lower digestive problems seem like they need an expert's attention. Your diarrhea could be from being anxious but 2 weeks is too long to wait for a doctor's opinion. Have you made an appointment?

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Good morning!! I actually took a night job at our tax office. I get 3-4 hours a night out from him!!! Yeah!!! I know his job is extremely stressful and also exaggerates a lot. I normally let it go because i know he’s doing it.

I will be calling my gastro today. I think because of the diarrhea it’s making my urine ph drop. Because of my chronic kidney disease I have to dip my urine every day. And I noticed it dropping. And I take potassium citrate 3x a day. And googling I read diarrhea can cause the ph to drop.

But it is what it is. I’ve been through much in my life that I take things in stride. And this I will over come!

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@tonim

Good morning!! I actually took a night job at our tax office. I get 3-4 hours a night out from him!!! Yeah!!! I know his job is extremely stressful and also exaggerates a lot. I normally let it go because i know he’s doing it.

I will be calling my gastro today. I think because of the diarrhea it’s making my urine ph drop. Because of my chronic kidney disease I have to dip my urine every day. And I noticed it dropping. And I take potassium citrate 3x a day. And googling I read diarrhea can cause the ph to drop.

But it is what it is. I’ve been through much in my life that I take things in stride. And this I will over come!

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@tonim- You must feel more relaxed! But you should also get some you time, alone me-time at home. See if you can do that!

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Well.. I just came back from the ENT. Just got a scope down my nose which reveled inflammation down by the larynx caused by reflux. He also dropped my prescription of pantoprazole since I told him I saw minimal results from pantoprazole and prescribed me an H2 blocker called famotidine (if I recall the name of the medication correctly, if I'm wrong about the medication name ill just update this comment when i pick it up from the pharmacy). I also asked about vocal cord dysfunction being a possibility and was told it looked normal and most likely isn't the cause of this. I also asked if this is commonly developed after a viral cold and was told it is possible because viral illnesses tend to mess with the nerves that control it. Cant eat 2 hours before i go to sleep and sleep with a wedged pillow. Honestly what was more comforting is that out of all the specialist's I've seen this one seems more confident that this is what is causing the shortness of breath and frequent yawning.

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